NPI | 1205046000 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM A BOLESTA President 410-374-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MD 13248356) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-08-22 |